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Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2007 / Cilt: 53 - Sayı: 2

Comparison of the efficacy of corticosteroid injection, night splint and physiotherapy in diabetic carpal tunnel syndrome

Diyabetik karpal tünel sendromunda kortikosteroid enjeksiyonu, gece ateli ve fizik tedavinin etkinliğinin karşılaştırılması

Kadriye Banu KURAN
Cem ERÇALIK
Kemal BARKUT
Münevver ÇELİK
Şule TAŞPINAR
Yüksel ALTUNBAŞ
Sema UÇAK
Füsun ŞAHİN
Pages
54–60
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Results: Significant improvements were detected in all treatment groups in VAS, sensorial, motor and functional evaluations (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: To evaluate the efficacy of physiotherapy, steroid injection, and night splint in diabetic carpal tunnel syndrome (CTS).
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Key Findings & Data:Materials and Methods: Total of 54 hands belonging to 35 diabetes mellitus patients admitted with complaints of paresthesias and pain, diagnosed electrophysiologically as CTS, were included in this prospective, single blinded, randomized study.
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Conclusion & Impact:Results: Significant improvements were detected in all treatment groups in VAS, sensorial, motor and functional evaluations (p
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: To evaluate the efficacy of physiotherapy, steroid injection, and night splint in diabetic carpal tunnel syndrome (CTS). Materials and Methods: Total of 54 hands belonging to 35 diabetes mellitus patients admitted with complaints of paresthesias and pain, diagnosed electrophysiologically as CTS, were included in this prospective, single blinded, randomized study. Patients were randomized into three treatment groups: physiotherapy (US, TENS), night splint, steroid injection and evaluated before and 3 months after the treatment. Evaluated variables were 1) Pain (VAS), 2) Sensation evaluation (by monofilament, two-point discrimination test), 3) Muscle strength (grip and pinch), 4) Functional evaluation (Sollerman hand function test, Boston CTS questionnaire, Health Assessment Questionnaire), 5) electroneuromyography (EMG). Results: Significant improvements were detected in all treatment groups in VAS, sensorial, motor and functional evaluations (p

Özet

Amaç: Diyabetik karpal tünel sendromununda (KTS) fizik tedavi, steroid enjeksiyonu ve gece ateli kullanımının etkinliğini değerlendirmek. Gereç ve Yöntem: Prospektif, tek kör, randomize olarak planlanan çalışmaya, ellerinde parestezi ve ağrı şikayetleri olan, EMG ile KTS tanısı doğrulanan 35 diyabetes mellitus hastasının 54 eli alındı ve 3 gruba ayrıldı. Grup 1’e fizik tedavi (US, TENS), Grup 2’ye gece el-bilek ateli, Grup 3’e steroid enjeksiyonu uygulandı. Tedavi öncesi ve 3 ay sonra değerlendirilen değişkenler: 1) Ağrı (VAS ile), 2) Duyusal tutulum (monofilaman ve iki nokta ayrımı testi ile), 3) Motor tutulum (kaba kavrama, uç tutma ile), 4) Fonksiyonel yeterlilik (Sollerman el beceri testi, Boston KTS sorgulama formu, Sağlık Değerlendirme Anketi-Health Assessment Questionnaire-HAQ) 5) Nörofizyolojik durum (elektronöromiyografi (EMG) ile) belirlendi. Bulgular: Tedavi sonrası VAS, duyu, kas gücü, fonksiyonel değerlendirmede her üç tedavi grubunda anlamlı iyileşmeler tespit edildi (p

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Cite This Article

KURAN, K. B., ERÇALIK, C., BARKUT, K., ÇELİK, M., TAŞPINAR, Ş., ALTUNBAŞ, Y., UÇAK, S., ŞAHİN, F. (2022). Comparison of the efficacy of corticosteroid injection, night splint and physiotherapy in diabetic carpal tunnel syndrome. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 53 - Sayı: 2, 54–60. https://ajindex.com/articles/629153

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